Form DHS-6806-ENG Telehealth Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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Form DHS-6806-ENG Telehealth Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

What Is Form DHS-6806-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHS-6806-ENG form?
A: The DHS-6806-ENG form is the Telehealth Provider Assurance Statement for Minnesota Health Care Programs (MHCP).

Q: What is telehealth?
A: Telehealth is the use of technology to deliver healthcare services remotely.

Q: Who is required to fill out the DHS-6806-ENG form?
A: Providers participating in Minnesota Health Care Programs (MHCP) and offering telehealth services are required to fill out this form.

Q: What is the purpose of the Telehealth Provider Assurance Statement?
A: The purpose of this statement is to ensure that providers are aware of and compliant with the requirements for telehealth services under MHCP.

Q: What information is required to be included in the DHS-6806-ENG form?
A: The form requires providers to provide information about their telehealth services, such as the type of services offered and the technology used.

Q: Are all telehealth providers required to fill out this form?
A: Yes, all providers offering telehealth services under MHCP are required to fill out this form.

Q: Is there a deadline for submitting the DHS-6806-ENG form?
A: The form should be submitted as soon as possible, and providers should update the form if there are any changes to their telehealth services.

Q: Is there any fee associated with submitting the DHS-6806-ENG form?
A: No, there is no fee associated with submitting this form.

Q: Who should I contact if I have questions or need assistance with the DHS-6806-ENG form?
A: You can contact Minnesota Health Care Programs (MHCP) for assistance with the DHS-6806-ENG form.

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Form Details:

  • Released on January 1, 2022;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS-6806-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6806-ENG Telehealth Provider Assurance Statement - Minnesota Health Care Programs (Mhcp) - Minnesota

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